International patients are already searching. Make sure it's your clinic they find.
30,000+ IVF and assisted reproduction cycles in Spain each year are for patients who travel from abroad. Demand continues to grow.
Fertela turns demand into qualified attended consultations.
Get StartedSource: Registro SEF, Sociedad Española de Fertilidad, 2019–2023.
How it works
Our Cross-Border Patient Acquisition System reaches international patients already searching for treatment, screens for those qualified and consultation-ready, and hands them to your team ready to book.
Measured on attended consultations. Tracked for treatment starts. Optimised for revenue.
From first search to your consultation room
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Google and Meta ads
Campaigns reach patients abroad while they are actively researching treatment.
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Market-native landing pages
Written for the patient's own market and language, around the questions they actually ask. Your medical team signs off every word.
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Enquiry qualification
Your agreed criteria filter both the ad targeting and the enquiry form, so fewer out-of-criteria enquiries reach your coordinators.
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Handover to your team
Enquiries land in your own systems. Where your CRM/EMR supports it, the patient gets instant confirmation and your coordinator a real-time alert.
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Attended consultation What you pay for
The result we're measured on, and the only thing you pay Fertela for.
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Treatment start Tracked
Tracked with you, so spend moves towards what fills treatments, not just consultations.
Three principles behind the system
Built in the source market
Campaigns researched, written, and run in the patient's home market and language, built around the questions international patients actually ask.
Your accounts, your data
Campaigns run in your ad accounts; enquiries land in your systems. Patient data stays inside the clinic. Fertela sees aggregate numbers only, never patient records.
Compliance as architecture
GDPR Article 9, Spanish publicidad sanitaria rules, and source market ad codes are constraints we design around, not fix later.
Pay for qualified attended consultations. Nothing up front.
We build, run and continuously optimise your patient acquisition system.
Your fee
Per qualified attended consultation.
A fixed fee for each one, agreed on a call once we understand your treatments and markets.
- No setup fee
- No monthly retainer
- No pay-per-lead
- No percentage of ad spend
- No long-term contract
Fully flexible
Rolling agreement, no minimum term. Pause or end the agreement at any time.
Fully transparent
Your ad accounts, your data, and live reporting on consultation numbers from your own system.
Ongoing optimisation
Weekly or bi-weekly optimisation meetings, your choice, to review spend, enquiry quality and consultation outcomes. Plus monthly results reports.
Ad spend is paid separately, directly by you to Google and Meta, never through Fertela.
Getting started
Live in about 10 business daysAgree the criteria
A short call to agree your qualification criteria, the treatments in scope and terms.
Build
Campaigns, landing pages, tracking and creative: built in your accounts, with your medical sign-off on every patient-facing word.
Launch
Google and Meta campaigns go live, and qualified enquiries start reaching your coordinators.
Run and optimise
We operate the system end to end and report in plain numbers, moving spend towards what fills consultations.
What we need from your clinic
- Named coordinator(s) for patient enquiry handling
- Medical and brand sign-off on all patient-facing copy
- Access to your ad and analytics accounts. We build in yours, not ours, and we set them up for you if you don't have them
You're a good fit if
- You run a private fertility clinic in Spain
- You have an international department, or the intent to build one
- You have capacity for more first consultations in the months ahead
Optimise for what your clinic actually cares about: qualified attended consultations and treatment starts, not leads delivered.
What counts as a qualified attended consultation
Criteria are agreed with your medical team before launch. Typical examples:
Eligible for treatment
Within treatment age range. Upper limit set by your medical team.
Wanting a treatment in scope
Defined and agreed with your medical team.
Shows treatment intent
Planning to start treatment within a timeframe agreed with you.
Lives in a campaign market
Only patients from the markets we run campaigns in.
New to your clinic
Not already an enquiry or patient in your system.
Attends the consultation
Booked but missed consultations are not charged.
How it's counted
- Counted from your own system each month
- Only consultations from Fertela campaigns
- Your coordinator confirms the monthly count
Criteria agreed together before launch.
Fertela ROI Calculator
Enter your budget and conversion rates to see projected revenue, costs, and ROI.
Ad spend only. Excludes Fertela's fee per qualified attended consultation, which we agree on a call. Treatment value is clinic revenue before clinic costs. Indicative figures show a typical month once campaigns are running. Treatments usually start 3 to 6 months after first enquiry.
How the defaults are set
- Cost per enquiry
- Blended across Google and Meta, from keyword research and platform experience. Actual costs are measured and reported from the first month.
- Booking rate
- Share of enquiries that book a first consultation, by video or in person. Assumes your coordinators follow up promptly.
- Attendance rate
- Share of booked consultations that are attended.
- Treatment rate
- Share of attended consultations that go on to treatment, in line with commonly cited industry figures of about one in three.
- Treatment value
- For example, one donor egg cycle. Change it to match your own treatment mix.
How Fertela compares
The usual ways clinics fill international consultations, side by side.
| Compared on | Fertela. | In-house hire | Generalist agency | Pay-per-lead vendor |
|---|---|---|---|---|
| Focus | Cross-border fertility patient acquisition | Depends on who you hire | Usually many sectors | Varies |
| What you pay for | Qualified attended consultations | Salary, benefits and tools | Monthly retainer, often plus a percentage of ad spend | Every lead, whether or not they book |
| Setup fee | None | Recruitment and onboarding costs | Common | Varies |
| Monthly retainer | None | Fixed salary | Yes | Usually none |
| Minimum term | None: rolling agreement | Employment contract | Often 6 to 12 months | Varies |
| Ad accounts and data | Yours | Yours | Sometimes the agency's | Often the vendor's |
| Time to launch | About 10 business days | Months to hire and train | Typically several weeks | Days to weeks |
| Customised to your clinic and markets | Varies | Rarely | ||
| Continuous optimisation | Depends on who you hire | Varies | For lead volume, not treatment starts | |
| Optimised toward treatment starts and revenue growth | Varies | Rarely, often just optimised to ROAS | ||
| Cross-border fertility advertising compliance built in | Depends on who you hire | Varies | Varies |
A general comparison. Terms vary by provider.
Why cross-border fertility marketing is different
Fundamentally distinct from generic healthcare marketing. Six realities we build around:
Long consideration cycles
International patients are often months to years into their fertility journey, and months into comparing clinics abroad, by the time a first enquiry reaches you. Campaigns built for instant conversion misread the decision process.
The multi-cycle reality
Treatment often takes more than one cycle. Honest communication respects that journey from the beginning.
Success rates, handled with care
Success rates are easy to misuse and widely misunderstood. We treat them the way patients and regulators deserve: precisely, in context, or not at all.
Regulated channels
Health advertising rules meet platform limits. Fertility advertising codes differ by region. Google and Meta both restrict how fertility audiences can be reached. We design within the rules, not around them.
Diverse patient journeys
International patients are far more than heterosexual couples: solo mothers by choice, same-sex couples, patients priced or aged out of their home systems. Each path shapes the message we write.
The cross-border layer
Waiting lists and donor availability, legal differences between home and abroad, cost and transparency, advanced technology access, results and standards, and travel logistics shape every decision. Localisation is about far more than language. Patients want to be treated like a person and not a number.
Fertility care is one of the most emotionally complex, financially significant decisions in medicine. We market accordingly: honest claims, no pressure, no trading on hope, and patient privacy as a design requirement. Ethics come first.
Get your Fertility Clinic Growth Plan
Tell us about your clinic. We'll review it and come back to you with your plan.
- Opportunities in how you attract international patients today
- Where your next international patients could come from
- The recommended approach and an indicative ad budget for your clinic
- Practical next steps
Rather talk first? Book a call
Thank you. Your details are with us.
We'll review your clinic and be in touch within 5 business days to arrange a time to go through your Fertility Clinic Growth Plan.
Common questions
Straight answers for clinic directors and international teams.
How is this different from running ads ourselves?
Ads are one part of the system. We also build the market-native landing environments, qualify enquiries against your agreed criteria, hand them to your team, and track outcomes through to treatment starts. You only pay Fertela when a qualified patient attends their consultation.
What counts as a qualified attended consultation?
The criteria are agreed with your medical team before launch. Typically: within your treatment age range, wanting a treatment in scope, showing treatment intent, living in a campaign market, new to your clinic, and attending the consultation. The count comes from your own system and your coordinator confirms it each month. See the typical criteria.
What are Fertela's fees?
A fixed fee for each qualified attended consultation, with no setup fee, no monthly retainer and no percentage of ad spend. We confirm the fee on a call, once we understand your treatments and markets.
How much should we budget for ad spend?
It depends on your treatments and markets, and your Growth Plan includes an indicative budget. Ad spend is paid directly by you to Google and Meta, never through Fertela. The ROI calculator shows how different budgets can play out.
Is there a contract?
A rolling agreement with no minimum term. You can pause or end it at any time.
Do we need a new website?
No. We build dedicated landing pages for your campaigns, in your accounts, and your medical team signs off every patient-facing word. Your main website stays as it is.
How quickly can we launch?
About 10 business days from agreeing the criteria. That covers account access, verification, landing pages, tracking and creative sign-off.
Does it work with our existing CRM/EMR?
Yes. Enquiries go into the system you already use. Where your CRM/EMR supports it, we add instant confirmation to the patient and a real-time alert to your coordinator.
What happens to patient data?
It stays with your clinic. Campaigns run in your accounts and enquiries land in your systems. Fertela sees aggregate numbers only, never patient records.
What happens after I request a Growth Plan?
We review your clinic and contact you within 5 business days to arrange a call to go through your plan. There's no obligation to work with us.
Andrew O'Leary, Ph.D.
Founder
Irish native. Based in Barcelona.